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DETROIT N13334 KB 00127J0 March 11, 1971 Mr.

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DEBIT/CREDIT NOTE AMERICAN CYANAMID COMPANY Bound Brook, New Jersey LOCATION ADDRESS - American Cyanamid Company TO: MacGregor Lead Company Chicago.

WEINZIMMER CLINIC 1211 South Cicero Avenue PHYSICAL EXAMINATION Company. 0-0 Kri>.tfru Re-employment Employee ] Examination R-examination Name Cl Address S \V Height lip ^3 Previous Injuries, Operations or Diseases DafP Q- - - *cQ Nature V.

6045 REv 10 69 9 -?

CYWI 3-00100J ^ ^Vk. jO. >. j p *^^^y-a-yO ^h^rrCr?

'* $ 4 0007-SWP-000012352 f 0007-SWP-000012353

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